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Privacy Policy

Personal data collected by Americlaims may be transferred to other individual Americlaims subsidiaries, where it is necessary to meet the purpose for which the visitor has submitted the information. By submitting data on Americlaims's Website, the visitor is providing explicit consent to transmission of data collected on the Website for the fulfillment of their voluntary requests.

Data Collection

Americlaims Billing Inc., is committed to protecting the privacy of persons visiting our site. This policy addresses: what personal information about visitors is collected on this site; how private information is held; how it will be used; under what conditions this information may be shared or released to another party; cookies; other sites; how material revisions to the policy will be conveyed; and contact information.

Information Collection and Use

Personal information regarding your name, company, address, etc., may be requested. This information is usually gathered in order to fulfill information requests from you, deliver products and services, and enable you to participate in our online discussion group.

We do not collect personal information about you when you visit our website unless you choose to provide that information to us. We collect limited non-personally identifying information your browser makes available automatically whenever you visit a website. This information may include the Internet Address of your computer or network, the date, time, and page you visited on our site, your browser and operating system, and the referring page. We may use the aggregated information from all of our visitors to measure server performance, analyze user traffic patterns and improve the content of our site.

Some of our online services require you to register for an account. We ask you for some personal information in order to create an account (typically your name, email address and a password for your account) and we will use that information to provide the service.

Information Sharing and Disclosure

Americlaims Billing, Inc., gathers and tracks this information for our internal use and does not sell or disclose personal information, including email addresses, to third parties, partners, or affiliates. We will only utilize the information provided to us in the manner described in the Information Collection and Use section.

Cookies

To ensure we are publishing relevant content for our visitors, Americlaims Billing, Inc, collects site-visitation statistics using cookies. We only use this information in aggregated form and only use site-visitation statistics for improving our site. You can configure your browser to accept all cookies, reject all cookies, or notify you when a cookie is set.

Other Sites

This Privacy Policy applies solely to the information collection practice on, Americlaims Billing, Inc.,s web site. From time to time, we may include links to other sites on intermedix.com. Please be aware that Americlaims Billing, Inc has no control or influence over the privacy practices of such other sites. When you link to another website, you are subject to the privacy policy of that new site. We encourage our users to be aware when they leave the Americlaims Billing, Inc site and to read the privacy statements of each and every web site that they visit.

Policy Changes

Please note this Privacy Policy can change from time to time. We expect most such changes to be minor, but we will post those changes as they occur. The effective date of the changes will be represented by the Effective Date posted on the bottom of this page.

Questions/Requests

Americlaims Billing, Inc welcomes any questions regarding this Privacy Policy or requests for changes to any personally identifiable information. Please contact us at compliance@americlaimsbilling.com or call 954-800-8387.

Effective Date: August 15, 2016

Revenue Cycle Optimization

Americlaims is committed to ensuring that medical claims are adjudicated in a timely manner and thoroughly followed-up on using our “Hybrid Team” approach that facilitates a solution that increases cash flow.

Integrated Approach

Americlaims is proud to provide integrated healthcare solutions that help clients chart a course of financial success. We recognize and understand that each of our service lines requires a unique focus. This specialized approach demonstrates our awareness and commitment to provide critical revenue cycle management services.

Predictive Analytics - eDisplay

At its core, Americlaims is and always will be a company that believes in helping its clients succeed. By hiring the right team and empowering them with the solutions to assist clients towards better financial outcomes, the overall experience is enhanced. Every single client of Americlaims receives excellent service which includes access to unlimited support, guidance and industry knowledge on the issues that impact their business. Americlaims help clients realize more revenue by focusing our efforts on the core services: denial minimization, predictive analytics and industry advocacy.

Our Core Differentiator

Americlaims clients have the option of utilizing eDisplay, the next generation of data transparency. Our analytic platform permits clients with the ability to view and generate reports that help them easily monitor their business data. eDisplay presents a high-level overview of unparalleled, insightful and actionable intelligence necessary for better understanding trends and patterns of performance.

Tailored Solution

As our healthcare landscape changes, both cost and demand continue to rise. Due to such paradigm shift, it has placed a renewed spotlight on outcomes and cost reduction. Americlaims understands this shift and has identified and created innovative operational processes to ensure our clients are well positioned to accelerate cash flow for long-term profitability. We have committed to assisting clients of all sizes and structures and offer our expert guidance from experienced, knowledgeable partners and a complete workforce that possess a deep understanding of the complexities of the revenue cycle.

Our Company

What makes Americlaims great is its caliber of people and it starts at the top. With passion, dedication and purpose, the Americlaims executive team sets the exceptional standards for service, integrity and transparency. We are devoted to be a resource with well-organized and state-of-the-art processes in supporting our clients. By partnering with our clients, affords us the opportunity to work as an extended arm of their organization. Our knowledge, and high level of customer service, empowers us to anticipate our client’s needs and design our processes around them.

Therefore, Americlaims is devoted to assisting clients operate knowledgeably, intelligently, effectively and efficiently in the rapidly sprouting behavioral healthcare marketplace, today and in the future. Lastly, we believe our value as a company is inseparable from the quality of our staff and the relationship with clients.

Our Goal

At Americlaims we believe in educating our clients on how to increase revenue from third-party payers so they can enjoy a healthy revenue cycle and concentrate more on client care. Our goal is to improve the client’s cash flow position by reducing days in account receivable and improving profitability, by increasing collections ratio.

Our Priority

Being a Americlaims client quite simply means you are our priority SIMPLE, no matter how large or small your treatment facility is, we take the annoyance away by providing all your revenue cycle management service needs. Our promise is to give our clients a level of service that is consistent with their business practices and a representation of our culture.

Our Staff

Americlaims has a premier management team consisting of several key executives with well over 50 years of collective healthcare service experience. Americlaims management team’s goal is to provide a new service and processing solution geared towards customized client specific offerings for partnering and sourcing of services.

Each member of our staff adds value to the overall success of our company. Here at Americlaims, we only hire hardworking, experienced and passionate people who want to be in an environment that adopts and operate under the philosophy of 100% benchmark service to the clients. Understanding the value of each employee, we strive to preserve an open culture in which every member of the Americlaims team contributes and feels empowered to share ideas, acumen and opinions to ensure our client’s revenue cycle management service needs are met.

Utilization Review Services

Americlaims performs admission screening and utilization review services to evaluate the medical necessity, appropriateness and efficiency of the use of health care services, procedures and facilities under the provisions of the benefits.

Our utilization review services include admission screening and concurrent length of stay review as well as retrospective review for medical necessity and appropriateness of care in behavioral health, free-standing psychiatric hospitals and addiction treatment facilities. We review the outcomes of the admission and continued stay review processes, and manage the denial and appeals processes if necessary.

At Americlaims we understanding that healthcare does not work within a one-size-fits-all framework we will work with you to receive an extension of the time should it be necessary to ensure that each patient receives the level and length of treatment necessary to be well-equipped to adjust back into their life and society.

Our services include:

Reviewing medical records to ensure that they are in compliance

Utilization review and authorization request

Revenue Cycle Management

Americlaims Billing, Inc., offers unmatched expertise in revenue cycle management services. We provide timely, metric driven and substantive feedback to our clients while keeping them up to date on the latest changes and healthcare regulations that impact their business.

Verification of Benefits

Americlaims verification specialists are benefit verification experts, formally trained on the methods of performing a thorough benefit verification. Each verification specialist examines and detail everything from coverage requirements to payment levels. We tailor our process to capture each meticulous level of detail, including information necessary to assist those seeking treatment to understand their benefit obligation.

Our services include:

Efficient benefits verification

Verifications that are recorded for quality assurance and in case of any dispute claims

A system generated alert that notify clients when verification of benefits has been completed.

Re-validation of benefits as necessary

Billing and Collections

Americlaims advanced and state-of-the-art software platform enables our team of specialists to efficiently manage client databases, master claim files, and incoming clinical data while supported by a sophisticated enterprise rules engine to reduce claim cycle time, reduce denials, and increase revenues. With our innovative analytical reporting resource, it distinguishes us from the rest of the industry. This powerful platform also enables extensive tracking of client performance and user productivity.

Using the “Hybrid Team” approach and experience, we optimize the revenue cycle management process. Our experience has shown that the best revenue cycle management results are achieved through diligent and thorough follow-up. In addition, we have a keen understanding of the complexities associated with our industry and how reimbursements are impacted so we are fully committed to a culture of compliance.

Our services include:

Electronic claims processing to all leading insurance companies

Effective re-billing and follow-up

Monthly patient billing with outstanding balances

Claims Collection and Appeals

Posting of Payments

AmeriPay

AmeriPay is a value-added service that will allow for a more efficient and effective management system. AmeriPay is a co-pay and cash pay management system that enables clients to retrieve payments from clients real- time and immediately credit it to their accounts. All credit card transactions made via AmeriPay will be processed and deposited within 24 business hours. This smart cash management system allows for easy reconciliation and tracking by applying money to patient ledgers and alerting you when a patient has paid cash.

Services include:

Credit card processing in real time

Real time retrieval and credit to patient ledger

Cash management notification system

AmeriClaims EOB

Americlaims EOB is the component of the Americlaims system that analyzes data. We collect data from your 835 payer report that will later provide valuable information to your business by analyzing allowable rates in comparison to billed rates.

Americlaims EOB also allows for billing and collections services to respond quickly to any inconsistencies in payer payments by immediately sending out an alert should an inconsistency occur. This service has the built in benefit of allowing you to know ahead of time which payers pay the most and in a timely manner for services given based on statistical data gathered.

Services include:

Automated data analysis of 835 payer summary

Reports of any inconsistency between the amount received and allowable benefits

Valuable information regarding payers and the time frame in which they pay

Rates allowed according to Payer products

AmeriClaims EOB

Perform all responsibilities with the highest degree of integrity

Continually strive to improve upon the quality of all services performed

Undertake only those responsibilities that can be completed with professional competence